Your Health:

Prescription Drug

Introduction

Marathon Petroleum’s prescription drug coverage for both Health Plan options is administered by Express Scripts. You will automatically receive prescription drug coverage if you enroll in either Health Plan option.

Prescription Drug – Overview

Your prescription drug costs will depend on the Health Plan option you elect, whether you purchase at a retail pharmacy or through mail order, and the type of prescription drugs you buy (i.e., generic or brand name). The plan also covers certain preventive drugs and immunizations at 100% when obtained in-network. All prescription and specialty drugs MUST be purchased through Express Scripts mail order pharmacy or at a participating network pharmacy, or there will be no coverage from the plan.

Retail Overview

For retail medications, your prescriptions must be filled at an Express Scripts network pharmacy.

Generally, you should use retail pharmacies to purchase up to 30-day supplies of new prescriptions or medications you expect to take on a short-term basis. Ninety-day supply programs are more cost effective for both you and the Company, so the plan encourages appropriate use by limiting the number of 30-day fills of a maintenance drug. To encourage the use of mail order or Smart90-Walgreens, there will be no coverage for the 3rd and subsequent fills of a maintenance drug not purchased through one of these 90 day supply options. You will pay 100% of the cost of the medication. The amount you pay will not be applied to your deductible or out-of-pocket maximum.

Mail Order Overview

If you take medications on an ongoing basis for chronic conditions, they are classified as maintenance drugs and you should purchase a 90-day supply from the Express Scripts mail order pharmacy.

If your doctor is prescribing a maintenance drug, you should ask for two prescriptions – one for a 30-day supply to fill at retail (so you can start your medication right away) and one for a 90-day supply with three refills.

Smart90-Walgreens Overview

As an alternative to the mail order pharmacy from Express Scripts described above, you can choose to get your maintenance medications supplied through a Walgreens pharmacy. The document below has details regarding this program that may answer some of your questions.

1 Certain generic preventive drugs under the Saver HSA option are covered at 100%. A list of these drugs can be found here.

2 If the total cost of a drug is less than the copay, your cost will be the total cost (e.g., if the total cost of a generic drug at retail is $4, you will pay $4 instead of the $10 copay).

3 If you purchase a brand-name drug when a generic is available, you will pay the cost of the generic drug plus 100% of the difference in price between the generic and brand-named drug.

4 To encourage the use of mail order or Smart90-Walgreens, there will be no coverage for the 3rd and subsequent fills of a “maintenance drug” purchased in 30-day supplies at a retail pharmacy. You will pay 100% of the cost of the medication.

5 The amount you pay will not be applied to your deductible or out-of-pocket maximum.

Preventive Drugs and Immunizations

Preventive Medications Covered Under Both Plan Options

The plan covers many preventive medications and immunizations at no cost to you when provided by or obtained through an Express Scripts in-network pharmacy. These include generic drugs and, in some cases, brand-named drugs, along with some over-the-counter (OTC) medications. However, for eligible OTC medications to be covered at 100%, you must have a prescription.

Drug List – Preventive Items and Services Offering - 2018

Medicine Category and Who is Covered

Examples of Medicines Covered

Aspirin

Persons age < 70

Aspirin doses of 325mg and below (81mg)

Contraceptive Methods

(Only one of the available programs described is chosen for coverage by a prescription drug plan.)

Brand name contraceptives with a generic equivalent are zero cost share only when the prescriber indicates the brand product must be dispensed.

The age for coverage varies based on the vaccine product prescribed and recommendations by the U.S. Centers for Disease Control and Prevention

Covered immunizations include those that are routine vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention and that meet the US Food and Drug Administration approved indications for age and/or gender limitations. Coverage also includes non-routine immunizations as defined by ACIP.

Medications used to prepare for Colonoscopy

Adults ≥ 50 and ≤ 75 years of age

Limit of 2 prescriptions per year

(Only one of the available programs described is chosen for coverage by a prescription drug plan.)